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Review
. 2014 May;6 Suppl 2(Suppl 2):S272-5.
doi: 10.3978/j.issn.2072-1439.2014.04.20.

The European general thoracic surgery database project

Pierre Emmanuel Falcoz  1 , Alessandro Brunelli  1
Affiliations
Review

The European general thoracic surgery database project

Pierre Emmanuel Falcoz et al. J Thorac Dis. 2014 May.

Abstract

The European Society of Thoracic Surgeons (ESTS) Database is a free registry created by ESTS in 2001. The current online version was launched in 2007. It runs currently on a Dendrite platform with extensive data security and frequent backups. The main features are a specialty-specific, procedure-specific, prospectively maintained, periodically audited and web-based electronic database, designed for quality control and performance monitoring, which allows for the collection of all general thoracic procedures. Data collection is the "backbone" of the ESTS database. It includes many risk factors, processes of care and outcomes, which are specially designed for quality control and performance audit. The user can download and export their own data and use them for internal analyses and quality control audits. The ESTS database represents the gold standard of clinical data collection for European General Thoracic Surgery. Over the past years, the ESTS database has achieved many accomplishments. In particular, the database hit two major milestones: it now includes more than 235 participating centers and 70,000 surgical procedures. The ESTS database is a snapshot of surgical practice that aims at improving patient care. In other words, data capture should become integral to routine patient care, with the final objective of improving quality of care within Europe.

Keywords: General thoracic surgery; database; education.

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Figures

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Once you have logged in you are presented with the Database main menu, from which you can add new data, view or edit a procedure, modify your account details, and export your data in Excel for your own purposes.
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Clicking on the Enter Clinical Data button opens the next screen “Patient Search”, where it is possible to search for patients already in the database or add new patients.
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Clicking on the link Add New Patient, that can be found at the left of the screen in the section Options, you will be required to fill in the minimum data required to register a New Patient.
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Now it is possible to select the available Database [1] (in our case there is only the one named ESTSR) and add the patient to the chosen Database by clicking on the button [2].
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The Database is an all-purpose database designed for all general thoracic surgery procedures, but specifically focused on lung resections for which a number of additional items can be selected, including risk-scores, cardiopulmonary function data and calculation of predicted postoperative pulmonary function through a standardized calculator.
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In addition to risk factors, diagnosis and staging details can be added in a following section.
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The system auto-calculates for Lung Excision Procedure the Predicted Mortality (%) and Predicted Morbidity (%).
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Early outcomes, including in-hospital morbidity, in-hospital and 30-days mortality should be specified in the final section, before submitting the data.
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References

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    1. Brunelli A, Varela G, Van Schil P, et al. Multicentric analysis of performance after major lung resections by using the European Society Objective Score (ESOS). Eur J Cardiothorac Surg 2008;33:284-8 - PubMed
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    1. Brunelli A, Varela G, Berrisford R, et al. Audit, quality control, and performance in thoracic surgery--a European perspective. Thorac Surg Clin 2007;17:387-93, vii. - PubMed
    1. Brunelli A, Berrisford RG, Rocco G, et al. The European Thoracic Database project: composite performance score to measure quality of care after major lung resection. Eur J Cardiothorac Surg 2009;35:769-74 - PubMed